Defining the Minimal Clinically Important Difference and Patient Acceptable Symptom State for Arthroscopic Anterior Shoulder Stabilization at 2-Year Follow-up.
Background: There is a paucity of literature on the short-term clinical significance and patient-reported outcome measures (PROMs) after arthroscopic stabilization for anterior shoulder instability. Purpose: (1) To define the minimal clinically important difference (MCID) and patient acceptable symp...
| Publicado en: | Orthopaedic Journal of Sports Medicine Vol. 14; no. 6; pp. 1 - 11 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194993602&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194993602 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23259671 FUGT jtl: Orthopaedic Journal of Sports Medicine issn: 23259671 maglogo: Y pubinfo: dt: Jun2026 vid: 14 iid: 6 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 194993602 194993602 194993602 10.1177/23259671261442972 194993602 ppf: 1 ppct: 10 formats: tig: atl: Defining the Minimal Clinically Important Difference and Patient Acceptable Symptom State for Arthroscopic Anterior Shoulder Stabilization at 2-Year Follow-up. aug: au: Saad Berreta, Rodrigo Khan, Zeeshan A. Villarreal, Juan Bernardo Harkin, William Scanaliato, John P. Chahla, Jorge Forsythe, Brian Yanke, Adam B. Cole, Brian J. Verma, Nikhil N. affil: Department of Orthopedics, Rush University Medical Center, Chicago, Illinois, USA sug: subj: Shoulder Instability, Anterior Surgery Arthroscopy Patient-Reported Outcomes After Care Outcome Assessment Shoulder Instability, Anterior Symptoms Preoperative Care Sociodemographic Factors Intraoperative Care Human Case Control Studies Retrospective Design Prospective Studies Record Review Questionnaires Descriptive Statistics Multiple Logistic Regression Disease Duration Body Mass Index Joint Instability Complications Adult Male Female Postoperative Complications Multivariate Analysis Dislocations Complications Odds Ratio Data Analysis Software T-Tests Adult: 19-44 years Male Female ab: Background: There is a paucity of literature on the short-term clinical significance and patient-reported outcome measures (PROMs) after arthroscopic stabilization for anterior shoulder instability. Purpose: (1) To define the minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) thresholds for arthroscopic anterior shoulder stabilization at a minimum 2-year follow-up. (2) To investigate predictive factors, including preoperative, demographic, and intraoperative variables, for achieving MCID and PASS. Study Design: Case-control study. Methods: Patients who underwent primary arthroscopic stabilization for anterior-inferior labral tears from March 2018 to December 2021 with a minimum of 2-year follow-up were retrospectively identified through a prospectively maintained institutional database. MCID thresholds were determined by a distribution-based method, while PASS thresholds were established using an anchor-based method. The PROMs analyzed included the Western Ontario Shoulder Instability Index (WOSI), Single Assessment Numeric Evaluation (SANE), Patient-Reported Outcomes Measurement Information System Upper Extremity (PROMIS UE), and the Veterans Rand-12 (VR-12) score. Multivariate logistic regression was performed to identify factors associated with achieving MCID and PASS. Results: A total of 65 patients were included. The thresholds for MCID achievement and achievement rates were as follows: WOSI, 12.8 (84.6%); SANE, 14.4 (81.5%); PROMIS UE 4.4 (90.8%); VR-12 Physical, 3.9 (76.9%). The thresholds for PASS achievement and achievement rates were as follows: WOSI, 40.2 (80%); SANE, 74.9 (86.2%); PROMIS UE 40.5 (84.8%); VR-12 Physical, 49.9 (83.1%). Symptom duration >6 months was predictive of failing to achieve MCID for the WOSI and PASS for the WOSI and SANE. Preoperative hyperlaxity was predictive of failing to achieve PASS for the WOSI and PROMIS UE. A lower body mass index (BMI) was predictive of achieving PASS for the WOSI, PROMIS UE, and VR-12. The presence of an anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion was predictive of failing to achieve PASS for the WOSI and failing to achieve MCID and PASS for the WOSI, PROMIS UE, and VR-12 simultaneously. Conclusion: This study defines thresholds for MCID and PASS achievement at a minimum 2-year follow-up for patients undergoing arthroscopic anterior shoulder stabilization. Factors including symptom duration, hyperlaxity, BMI, and ALPSA lesions were found to be predictive of MCID and PASS achievement on multiple PROMs at short-term follow-up. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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